Organization
BRAZOS RADIATION ONCOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALVIN LEE SCHLICHTEMEIER M.D. (PRESIDENT)
(979) 774-0808
Entity
Organization
Contact information
Practice address
2215 E VILLA MARIA RD, SUITE 130, BRYAN, TX 77802-2548
(979) 774-0808
(979) 776-3028
Mailing address
PO BOX 2289, COPPELL, TX 75019-8289
(972) 745-1429
(972) 393-4975
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81701701
—
TX
Enumeration date
02/08/2006
Last updated
11/06/2012
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